Open AccessLarge Intra-Articular Anterior Cruciate Ligament Ganglion Cyst, Presenting with Inability to Flex the Knee
Author(s) -
Jake Sloane,
Vivek Gulati,
Sreeram Penna,
Philip Pastides,
Davinder Paul Singh Baghla
Publication year - 2010
Publication title -
case reports in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.2
H-Index - 20
eISSN - 1687-9627
pISSN - 1687-9635
DOI - 10.1155/2010/705919
Subject(s) - medicine , ganglion cyst , anterior cruciate ligament , magnetic resonance imaging , knee pain , infrapatellar fat pad , cyst , surgery , asymptomatic , anterior knee pain , knee joint , facetectomy , radiology , patella , osteoarthritis , pathology , alternative medicine , psychiatry , laminectomy , spinal cord
A 41-year-old female presented with a 3-month history of gradually worsening anterior knee pain, swelling and inability to flex the knee. Magnetic resonance imaging (MRI) revealed a large intra-articular cystic swelling anterior to the anterior cruciate ligament (ACL), extending into the Hoffa's infrapatellar fat pad. Following manipulation under anaesthesia and arthroscopic debridement of the cyst, the patient's symptoms were relieved with restoration of normal knee motion. ACL ganglion cysts are uncommon intra-articular pathological entities, which are usually asymptomatic and diagnosed incidentally by MRI. This is the first reported case of an ACL cyst being so large as to cause a mechanical block to knee flexion.
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